REV-1504 EX+ (10-15)
                            SCHEDULE C
                            CLOSELY-HELD CORPORATION,
     INHERITANCE TAX RETURN PARTNERSHIP OR
     RESIDENT DECEDENT
                            SOLE-PROPRIETORSHIP
     ESTATE OF                                                                                    FILE NUMBER
START
Ü
     Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, 
                         other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships.
     ITEM NUMBER                                                                                  VALUE AT DATE
     NUMBER                 DESCRIPTION                                                           OF DEATH
     1.

                            TOTAL (Also enter on line 3, Recapitulation)                        $                                                   0.00
                            (If more space is needed, insert additional sheets of the same size)
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